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If someone were to produce data showing that, say, 95 percent of women under 30 who had tubal ligation regret the decision and want the procedure reversed (it can be reversed, can't it?), then the doctors would have stronger ground to stand on. But if no study exists, then the doctors are basing these decisions on their own opinions, not fact. This falls into the realm of bad medicine in my book, not just mere paternalism.